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                   Australian 
                  Bionic Eye Gives Hope to Blind from Health World Online, August 29, 2002
 For more articles on disabilities and special ed visit
                  www.bridges4kids.org.
 
                  SYDNEY, Australia, Aug 29, 2002 
                  (United Press International via COMTEX) -- Australian 
                  researchers have announced they are developing a bionic eye 
                  that could return some sense of sight to blind people with 
                  hereditary degenerative diseases of the retina.
 It is an advance that could do for the blind 
                  what the cochlear implant has done for the profoundly deaf, 
                  the researchers said.  The team, from the University of New South 
                Wales and the University of Newcastle, has been working on the 
                project since 1997. They said they are near to finding a way to 
                replace the function of the damaged part of the eye.  Project leader Nigel Lovell told United Press 
                International that trials of the device on sheep have evoked 
                brainwaves consistent with vision.  "It shows we're heading in the right 
                direction," he said.  The retina consists of a layer of 
                light-sensitive nerve cells on the back of the eyeball. In a 
                normal functional eye, a spot of light cast upon the retina 
                triggers what the scientists call a "cascade of physiological 
                events." This culminates in an electrochemical signal that 
                spreads from retinal nerve cells, traveling along the optic 
                nerve to the vision centers of the brain for interpretation.
                 In a diseased eye, the cascade no longer 
                occurs, so there is no electrochemical signal to the brain.
                 Researchers have found the electrochemical 
                signal can be initiated by delivering an electronic pulse to the 
                appropriate nerve cells. That is what the bionic eye would do.
                 It would replace the eye lens with a capsule 
                the size of a dime holding a microchip linked by platinum wires 
                to the retina. The chip would receive pictures radioed from a 
                tiny camera attached to a pair of glasses. Signals reaching the 
                retina would produce 100 points of light, 10 rows wide and 10 
                columns deep, creating a pixilated image like those shown on 
                television reports where a person's identity needs to be 
                concealed.  "Down the road, it sounds pretty exciting," 
                Robyn Richards, president of Retina Australia, told UPI. "I 
                don't want people to get false hope, but the bionic eye could 
                one day make a big difference to totally blind people." 
                 Retina Australia is a voluntary organization 
                that provides scientific research and support to people and 
                families affected by retinal degenerative diseases.  An estimated 10 million Americans suffer from 
                blinding eye diseases, such as macular degeneration and 
                retinitis pigmentosa. The degeneration is gradual, typically 
                starting with night blindness, then progressing to tunnel vision 
                and then complete blindness.  People with the affliction also suffer 
                sleeping disorders due to their inability to discern light from 
                dark. To date, there is no cure or treatment.  In the United States, a parallel effort has 
                been under way to develop an artificial vision system. Led by 
                ophthalmologist Alan Chow of Chicago, it involves implanting a 
                computer chip into the retina.  Lovell is keen to distance himself from the 
                American device, however.  "The big difference is that in our bionic eye, 
                the camera is outside the body," he said. "We don't believe Dr. 
                Chow's invention will work because it is not bio-compatible. The 
                body is a corrosive place and the electronics won't survive 
                long. What's more, once the device inside the eye, if there are 
                any problems, it will be impossible to extract it safely."
                 Lovell said the bionic eye will not restore 
                perfect vision but could improve a patient's quality of life. As 
                a start, he said, it would allow patients to discern night from 
                day, probably relieving them of sleeping disorders.  In addition, patients might be able to detect 
                movement and objects, which would help them get around without 
                bumping into things. It might even be possible to read very 
                large print in some cases.  It will be some time -- perhaps 5 years -- 
                before the bionic eye will be commercially available, Lovell 
                said. The next step is to test the device by implanting 
                electrodes inside a person's eye for a day or so and recording 
                what happens.  Lovell relates development of the device to 
                cochlear implants. The first devices were not that successful, 
                he said, and it was 20 years before Cochlear Ltd., a Sydney 
                company, was able to put the device inside the human body.
                 The cochlear implants remain controversial. 
                Last month, the U.S. Food and Drug Administration reported at 
                least 25 cases of bacterial meningitis had been diagnosed 
                worldwide among patients with the ear implants.  Richards, who has been legally blind since she 
                was 38 -- after being diagnosed with retinitis pigmentosa at 33 
                -- said she hopes the research bears fruit.  "It will be great when it comes," she said, 
                "but it would be dangerous for people like myself to get our 
                hopes up too much at this stage." |